Conveniently located to serve Honolulu and Hawaii
I had a droopy eyelid that would also close involuntarily when reading in bed. Dr. Tantisira corrected the problems with a blepharoplasty surgery.
My friends and family compliment me on the wonderful results. Thank you, Dr. T!
By Arlene Kawamura
At TrueVision Center, we offer eyelid surgery for our patients in Honolulu who are bothered by the saggy, wrinkled, and aged appearance of their eyelids. We offer a variety of eyelid procedures and our team will take the time to understand what your aesthetic goals are so we can provide you with your ideal results.
What Causes Eyelid Sagging?
The eyes are the central feature of your face. When they look old, your whole face looks old. Sadly, the skin around the eyes is the thinnest skin of the face, so it often ages the most quickly. Sagging of eyebrows, drooping of the eyelid skin and wrinkling around the eyes all age the eyelids. These changes can even affect the vision or function of the eyes. Especially in Honolulu, with our high Asian population, who have smaller or no upper eyelid folds, the upper eyelid skin can obstruct vision at a fairly young age. Having eyelid surgery makes the patient look and feel better!
Evaluation for eyelid surgery starts off with a consultation with Dr. Tantisira. This is necessary to determine the precise eyelid problem and the correct surgery to repair it. The evaluation also helps decide if the surgery is cosmetic, or if there is a functional component, where the eyelid problem is affecting vision or the health of the eyes.
What to Expect
Eyelid surgery is done as a same-day procedure, meaning that the patient goes home immediately after surgery. Generally, the surgery takes only an hour or two and is done under local anesthesia. Before the surgery, patients are asked to stay off all medications that increase the risk of bruising.
Recovering from Eyelid Surgery
After surgery, you can expect to experience some swelling and bruising around the eyes. Ice packs are applied and the head is kept elevated for two to three days to minimize swelling in the surgical area. Any activity that could increase the risk of bleeding is forbidden, including exercise, bending over, and lifting heavy things. No patching is usually needed. If everything proceeds as expected, the patient can return to normal activities about two weeks after surgery. You will be provided with post-operative instructions to help make the process as smooth as possible. Follow-up visits will be scheduled to make sure everything is fine. Make sure to contact us if you experience any issues or complications during your recovery.
Types of eyelid surgery performed:
Upper Eyelid Surgery
There are 2 common upper eyelid conditions that bring patients into our office, sagging skin (dermatochalasis) and drooping of the entire eyelid, including the edge of the eyelids (ptosis). Sometimes both conditions are present in one patient. Both can be unattractive and can interfere with vision. Sagging skin is more common than drooping of the entire eyelid. Treatment differs, as the first condition requires the removal of excess skin, while the second requires repositioning of the edge of the eyelid and reattaching the eyelid muscles.
Blepharoplasty is the medical term for the removal of excess eyelid skin. This procedure is done for cosmetic reasons, as excess skin can make the patient look tired or old. It is also done for medical reasons when the excess skin interferes with daily activities, such as seeing to the sides for driving. This procedure also can be performed to reshape the eyelid, often if the patient was born without a double eyelid fold and would like to create a double lid. Usually done under local anesthesia, the surgery is quite safe and effective. The initial incision and the resulting scar are hidden in the eyelid crease and are barely visible after 6-12 months. If there is a lot of pre-ops “hooding” or excess skin on the outside corners of the eyes, there may be a short visible scar if the patient wants the hooding that extends beyond the eyelid crease to be removed. Dr. Tantisira reviews each patient’s goals and expectations before surgery and designs each surgery to match those individualized priorities. The amount of skin to be excised above the crease is carefully measured to be sure that it is correct and that the eye still will close easily and be well-protected by the eyelid.
Ptosis repair is needed when the entire eyelid is drooping. The drooping is caused by eyelid muscles not working or by the separation of the muscle from the eyelid tissues so that the eyelid no longer is raised by the muscle. Since the entire eyelid is too low, ptosis can interfere with vision or be cosmetically unacceptable. Surgery can be done under local anesthesia. Most commonly the muscle separates from its insertion on the eyelid. To repair this condition, the muscle must be sewn back onto its normal position so that it can lift the eyelid again. This surgery involves going into deeper layers of the eyelid, where the “levator muscle” lies under the skin, the ”orbicularis muscle” (which closes the eye), and fat. Alternatively, in mild cases, the muscle can be removed from underneath the eyelid.
Lower Eyelid Surgery
Eye bags are caused by the orbital fat, which usually cushions the eyeballs, prolapsing forward and sagging downwards, thus causing ugly eye bags. In some patients, this is associated with a hollow under the bag, which makes their appearance even worse. Although the fat deposits can be hidden with injections of filler, removing the fat is the definitive long-term treatment for eye bags. Lower eyelid blepharoplasty can be done through the skin, which leaves a tiny scar just under the eyelashes, or through the inside of the eyelid so that the scar does not show at all. Making an incision through the skin is indicated if there is excess skin to be removed. Alternatively, the CO2 laser is used to tighten and rejuvenate the skin.
All eyelid surgeries start with a consultation with Dr. Tantisira. She will determine which condition you have and review with you the procedure best suited to improve your condition. Pre-operative and post-operative courses are discussed. Are you feeling like your eyelids could be improved? Start your journey to looking and seeing better today! Schedule a free consultation at our Honolulu office! Just call (808)591-9111.
The Cost of Eyelid Surgery
The cost of your eyelid surgery in Honolulu will be discussed during your initial consultation at TrueVision Center. Factors like the type of eyelid surgery being performed will go into determining the exact cost of your surgery.